COMMUNITY MEDICAL CENTERS, INC. (NPI# 1881685964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881685964 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL CENTERS, INC. |
| Other Organization Name | WOODBRIDGE MEDICAL GROUP |
| Practice Address |
2401 W Turner Rd Lodi CA 95242-2182 |
| Mailing Address |
Po Box 779 Stockton CA 95201-0779 |
| Practice Telephone | 2093701700 |
| Practice Fax Number | 2093701737 |
| Mailing Telephone | 2093732800 |
| Mailing Fax Number | 2093732878 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2010-07-14 |
| Authorized Official Name | MR. MICHAEL H KIRKPATRICK (CEO) |
| Authorized Official Telephone | 2093732833 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
030000424 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC70460F | 05 |
| Other Name | Type Code |
|---|---|
| Woodbridge Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669720157 | Community Medical Centers, Inc. | Clinic/Center | 2015 S Mariposa Rd, Stockton, CA 95205-7735 | 2012-08-15 |
| 1588729180 | Community Medical Centers, Inc. | Clinic/Center | 17050 S. Grafton Street, Esparto, CA 95627 | 2006-12-26 |
| 1164586772 | Community Medical Centers, Inc. | Clinic/Center | 2640 E Lafayette St, Stockton, CA 95205-5713 | 2006-12-20 |
| 1659435279 | Community Medical Centers, Inc. | Clinic/Center | 721 Calaveras Street, Lodi, CA 95240-0628 | 2006-12-20 |
| 1457621922 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-12-30 |
| 1285912956 | Community Medical Centers, Inc. | Clinic/Center | 200 Cottage Ave Ste 103, Manteca, CA 95336-4935 | 2011-07-29 |
| 1144413709 | Community Medical Centers, Inc. | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2007-08-27 |
| 1881887446 | Community Medical Centers, Inc. | Clinic/Center | 701 E Channel St, Stockton, CA 95202-2628 | 2007-08-27 |
| 1174646335 | Community Medical Centers, Inc. | Clinic/Center | 131 W A St, Dixon, CA 95620-3437 | 2007-04-10 |
| 1407978620 | Community Medical Centers, Inc. | Clinic/Center | 730 Central Ave, Tracy, CA 95376-4104 | 2007-04-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY MEDICAL CENTERS, INC. | 7210 Murray Dr, Stockton, CA 95210-3339 |
| Street Address |
2401 W TURNER RD |
| City | LODI |
| State | CA |
| Zip Code | 95242-2182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003801739 | Woodbridge Pharmacy | Pharmacy | 2401 W Turner Rd, Suite 290, Lodi, CA 95242-2182 | 2005-09-19 |
| 1003247644 | Sharen N Cheathon | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2013-12-09 |
| 1093050387 | Eliza R Downs | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2012-11-28 |
| 1710269246 | Emily L Watts | Physical Therapist | 2401 W Turner Rd, Suite 250, Lodi, CA 95242-2182 | 2011-09-10 |
| 1114253101 | Rosemary Ann Brixie | Nurse Practitioner | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2009-10-26 |
| 1346409257 | Chris R. Swartwood | Physical Therapist | 2401 W Turner Rd, 250, Lodi, CA 95242-2182 | 2008-06-05 |
| 1801918743 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1710009659 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1194840652 | Tina S Watt | Chiropractor | 2401 W Turner Rd, #230, Lodi, CA 95242 | 2007-03-20 |
| 1053480780 | Marietta Abellera Sumaquial | Pediatrics | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2006-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285125807 | Victoria Galvez | Psychologist | 1103 Tudor St, Lodi, CA 95242 | 2018-05-21 |
| 1174931471 | Shuk Mei Chung | Physician Assistant | 2122 W Kettleman Ln, Lodi, CA 95242 | 2014-07-30 |
| 1275962169 | Sharon Elizabeth Palmer | Speech-Language Pathologist | 1200 W Tokay St, Lodi, CA 95242 | 2013-11-01 |
| 1114286093 | Brandee Lyn Smith | Speech-Language Pathologist | 1547 Lexington Dr, Lodi, CA 95242 | 2012-05-11 |
| 1255609509 | Jennifer Marie Wallmark | Speech-Language Pathologist | 8 S. Cambridge Dr., Lodi, CA 95242 | 2011-12-01 |
| 1649459546 | Kimberly Ann White | Counselor | 441 S. Ham Lane Suite A, Lodi, CA 95242 | 2007-10-26 |
| 1255541991 | Heather Baldauff | Occupational Therapist | 800 South Lower Sacramento Road, Lodi Memorial Hospital West, Lodi, CA 95242 | 2007-05-23 |
| 1730227182 | Clifford John Bradshaw | Dentist | 801 S Ham Lane, Suite D, Lodi, CA 95242 | 2007-02-01 |
| 1861541799 | Catherine Ann Gravish | Physical Therapist | 800 South Ham Lane, Lodi, CA 95242 | 2007-01-09 |
| 1497814511 | Stewart Chiropractic Corp | Chiropractor | 1420 W Kettleman Ln #k-1, Lodi, CA 95242 | 2006-12-06 |
| Find all providers in zip 95242 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659435279 | Community Medical Centers, Inc. | Clinic/Center | 721 Calaveras Street, Lodi, CA 95240-0628 | 2006-12-20 |
| 1710542816 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 100, Lodi, CA 95242-3731 | 2019-05-03 |
| 1164087268 | Community Medical Centers Inc | Clinic/Center | 2415 W Vine St Ste 105, Lodi, CA 95242-3731 | 2019-05-03 |
| 1801918743 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
| 1710009659 | Community Medical Centers, Inc. | Clinic/Center | 2401 W Turner Rd, Suite 450, Lodi, CA 95242-2182 | 2007-04-04 |
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| 1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
| 1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
| 1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
| 1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.